Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  03/11/2021
Application#  :  727546
Name  :  Kessen, Tanya L
Profession  :  Substance Abuse Counselor-in-Training
Address  :  Onalaska, WI
Application Status  :  Withdrawn (Abandoned)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)
Application Complete Not Met
3/2/2022: Application 1 year or older needs update. Please submit application filled out in its entirety - write "UPDATE ID# 727546” across the top of the application. Submit by email to: DSPSCredSubstanceAbuse@wisconsin.gov - jnl
Employment Verification Form (Form # 2770) Not Met
7/20/20: need form 2770, must come directly from supervisor, print form at DSPS website & have your supervisor mail it to: Attn: Substance Abuse Section, DSPS, PO Box 8935, Madison WI 53708-8935 or email it to: dspscredsubstanceabuse@wi.gov – las
Information on Conviction(s)/Pending Charge(s) (Form #2252) Not Met
3/11/21: Received additional information. File will be submitted to Legal once all requirements are met. -ssa

7/20/20: Need: form #2252 (available here: https://dsps.wi.gov/Credentialing/General/FM2252.pdf)
Be sure to include all information and documentation as required on page one of form #2252. If documentation cannot be provided, please be sure to include a statement regarding why the documentation cannot be provided. If your convictions/charges were related to drug and/or alcohol, please be sure to include a current usage statement regarding your current relationship with drugs and/or alcohol and an AODA assessment if ordered by the court – las

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
Wisconsin Statutes and Rules Exam Met
10/15/20: complete - TMB;
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7/20/20: You may take this exam at any time;
Prior to taking exam, review instructions at:
https://dsps.wi.gov/Pages/Professions/SubstanceAbuseCounselorInTraining/Exams.aspx
When at the ParTest Online you will need the following:
Instructor: gsp
Test Name: SAP18A
Test Password: SAP18A
Student ID: Is your application ID
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PLEASE NOTE: each attempt of this exam cost $75.00. If you receive a failing score you will be required to retake this exam & pay the $75.00 retake fee - las
Application Fee Met
PAID 6/29/20 $158
Education and Training Form including proof of attendance and completion Met
3/11/21: UW Platteville - MSE Counseling 12/15/20 - dept approved. -ssa

10/15/20: need ONLY 1 of the 2 education forms completed that fits how you rec’d your 100 hours of specialized education for Substance Abuse. Please review forms 2832 & 3079 at: https://dsps.wi.gov/Pages/Professions/SubstanceAbuseCounselorInTraining/Default.aspx
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form 3079 will ONLY apply to applicants who have completed Department approved Substance Abuse education, please refer to the Department approved program lists under CURRENT Pre-Credential Education information at: https://dsps.wi.gov/Documents/SACCurrentPreCertificationEducation.pdf or FORMER Pre-Credential Education information at: https://dsps.wi.gov/Documents/SACFormerPreCertificationEducation.pdf - TMB;
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7/20/20: did you complete 100 hours of a specialized education in a Department approved program for Substance Abuse? Please refer to the Department approved program list in our website:
¿ if you DID complete a Department approved program, print form 3079 at DSPS website & mail to: Attn: Substance Abuse Section, DSPS, PO Box 8935, Madison WI 53708-8935 or email to: dspscredsubstanceabuse@wi.gov

¿ if you did NOT complete a Department approved program, print form 2832 at DSPS website & mail to: Attn: Substance Abuse Section, DSPS, PO Box 8935, Madison WI 53708-8935 or email to: dspscredsubstanceabuse@wi.gov – las